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DOMINIQUE KRISTINE RENYER BA
NPI 1831407204
Counselor - Addiction (Substance Use Disorder) in Portland, OR

Active since September 20, 2010
1027 E BURNSIDE ST, PORTLAND, OR 97214(503) 239-8400(503) 239-8407 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominique Kristine Renyer Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE KRISTINE RENYER BA (NPI 1831407204) is an individual addiction (substance use disorder) provider in Portland, Oregon and active in the NPI registry since September 2010. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1831407204
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDOMINIQUE KRISTINE RENYERCredential: BA
Location Address1027 E BURNSIDE STPortland, OR 97214
Mailing Address1027 E Burnside StPortland, OR 97216 · (503) 239-8400 · Fax (503) 239-8407
Phone(503) 239-8400
Fax(503) 239-8407
Sole ProprietorYes
Enumeration DateSeptember 20, 2010
Last NPPES UpdateJune 5, 2018
✔ NPI 1831407204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1027 E BURNSIDE ST, Portland, OR 97214
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Secondary Practice Locations 2

Location 158646 McNulty WaySaint Helens, OR 97051-6210 · Phone (503) 397-5211 · Fax (503) 397-5373
Location 21027 E Burnside StPortland, OR 97214-1328 · Phone (503) 239-8400 · Fax (503) 239-8407

Other Identifiers 1

Medicaid123190OR

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LISA DIANE WATTS DO
Family Medicine
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
JENNA M CHANTARA MSW, CADCII, QMHP
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
DR. JEFFREY BENTON HAYES MD
Family Medicine (Addiction Medicine)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
MELINDA TAFT
Counselor
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
DR. THOMAS TURNER MEYER M.D.
Psychiatry & Neurology (Psychiatry)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
BROOKE E JOHNSON
Counselor (Mental Health)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (971) 202-8400
LINDSEY K NEELY
Counselor (Addiction (Substance Use Disorder))
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400
MISS KARA EDGE MSW
Social Worker (Clinical)
1027 E BURNSIDE ST
PORTLAND, OR 97214
Multnomah County (503) 239-8400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Renyer's NPI number?

The NPI number for Dominique Renyer is 1831407204. It was assigned to this individual provider in the NPPES registry on September 20, 2010.

Where is Dominique Renyer located?

Dominique Renyer practices at 1027 E Burnside St, Portland, OR 97214. The listed phone number is (503) 239-8400.

What is Dominique Renyer's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Dominique Renyer was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.